Medical Rehabilitation Center

When you or a loved one needs rehabilitation care

A sudden illness, injury, or surgery can change daily life in an instant. Whether it’s due to a stroke, brain or spinal cord injury, amputation, fall, car accident, neurological condition, or another health event, rehabilitation can help you regain strength, independence, and confidence.

Your care may include:

  • Physical therapy
  • Occupational therapy
  • Speech-language therapy
  • Respiratory therapy
  • Or a combination of all

What happens next?

Choosing the right rehabilitation care can feel overwhelming—especially when you’re already dealing with so much. Understanding your insurance coverage, knowing what level of care you need, and comparing different facilities isn’t always straightforward.
We’re here to help make the process easier—so you can focus on recovery.

Click here to take a virtual tour of our Medical Rehabilitation Center.

Click here to take a virtual tour of our Outpatient Medical Rehabilitation services.

You deserve care that adapts to you.

At every stage of recovery, your needs may change—and your care should be able to change with you. We offer multiple levels of rehabilitation in one place, making it easier for you to get the right support at the right time.

As you progress, you can move between levels of care seamlessly, without disrupting your therapy or your relationships with your care team. This means less stress for you and your family—and more focus on what matters most: your recovery.

If you need help

Our compassionate experts are here to answer your questions, address your concerns, and direct you or your loved one to the level of care that is most appropriate for your situation.

Phone: (989) 790-7815 Fax: (989) 964-5118
Click here for more information about referring a patient.
  • Acute Inpatient Rehabilitation

    Care designed around you and your recovery

    At HealthSource Saginaw’s Beach Neighborhood, you’ll receive focused, intensive inpatient rehabilitation in a supportive environment designed to help you regain strength and independence after a serious illness, injury, or surgery—such as stroke, brain or spinal cord injury, amputation, or other conditions that affect your ability to function day to day.

    Our goal is simple: to help you get back to living your life as fully and independently as possible. Every step of the way, your care team works closely with you and your family—providing guidance, encouragement, and the tools you need to succeed.

    During your stay, you can expect:

    • Regular visits from rehabilitation and medical physicians who oversee your care
    • 24/7 support from specially trained rehabilitation nurses
    • A personalized therapy plan, including at least three hours of therapy each day, tailored to your needs (physical, occupational, and/or speech therapy)
    • Support from a full care team, including a clinical dietitian and social worker
    • Weekly team meetings to review your progress and adjust your care plan
    • A home evaluation to help you prepare for a safe return home

    To help you build confidence and independence, you may also practice daily activities by staying in our Beach House, a specialized home-like mini apartment or participate in supervised community outings.

     

    Weekly therapy team conference
    Weekly Team Care Conference

     

    Weekly Individualized Care Team Meetings

    Your care is guided by a physician who specializes in rehabilitation (physiatrist) and supported by a dedicated team focused on your recovery. This team includes rehabilitation nurses, physical therapists, occupational therapists, speech-language pathologists, respiratory therapists, clinical dietitians, and social workers.

    Each week, your care team meets to review your progress, share updates, and adjust your plan as needed. You and your family are an important part of this process—your goals, preferences, and progress help shape your personalized care plan.

    Together, we create a plan that is tailored to your unique needs and focused on helping you achieve the highest level of independence possible.

     

     

    Home room kitchen
    Home Room

    Home Room: Preparing for Your Return Home

    Before you leave rehabilitation, we want you to feel confident and ready for the next step. That’s why we offer our Beach House “home room,” a comfortable, apartment-style space where you and your family can practice everyday activities in a real-life setting.

    In this space—complete with a living room, bedroom, kitchen, and bathroom—you’ll have the opportunity to safely test your level of independence and build confidence in your daily routines.

    We also encourage family members to stay overnight to better understand what life at home may look like and how they can support you. Throughout this experience, our team remains available to answer questions, address concerns, and provide guidance.

    This hands-on practice helps ensure you, your family, and your care team feel prepared—so you can return home safely, with the right skills, support, and equipment in place.

     

    Home Evaluations: Planning for a Safe Return Home
    Practicing your skills in rehabilitation is important—but we also want to make sure you feel confident and safe in your own home environment.

    That’s why we offer home evaluations, either in person or virtually depending on your location. During this process, our physical and occupational therapists take a close look at your home to identify anything that could make daily activities more difficult—such as stairs, narrow spaces, or bathroom setup.

    We then work with you and your family to recommend equipment, simple modifications, and strategies to improve safety and make your home as functional and accessible as possible.

    By planning ahead together, we can help ensure a smoother, safer transition home—so you feel prepared, supported, and confident in your return to everyday life.

     

    Community Re-Entry: Getting Back to Everyday Life
    As you prepare to return home, we help you take the next step—building confidence in real-world situations you’ll encounter in your daily life.

    Through guided practice, you’ll work through common activities such as going out to eat, visiting community spaces, attending places of worship, or using public restrooms. Along the way, we help you identify potential challenges and develop practical strategies to navigate them safely and independently.

    In some cases, you may participate in a supervised outing, giving you the opportunity to practice these skills in a real community setting with the support of your care team.

    Our goal is to help you feel comfortable, prepared, and confident returning to the activities and routines that matter most to you.

  • Outpatient Rehabilitation

    Our skilled and licensed professionals in physical therapy, occupational therapy, and speech-language pathology provide outpatient services to patients after stroke, head injury, spinal cord injury, orthopedic surgery, and other illnesses or injuries.

    For Appointments

    Call (989) 790-7800 for assistance with scheduling an appointment for:

    • Physical therapy
    • Occupational therapy
    • Speech-language pathology

     

    Once you’ve scheduled an appointment, click HERE to view information needed for your first visit.

  • Therapy Facility

    Inpatient gym
    Inpatient Gym

    Outpatient gym
    Outpatient Gym


Physical Therapy

Move better. Feel stronger. Live pain free.

At HealthSource Saginaw, our therapy gym and physical therapy staff are second to none in the region. Our team is seasoned and successful, and our program is highly sought after as a training ground for students because of our outcome-oriented, patient-focused care.

Physical therapy services are part of a multi-disciplinary approach that also includes case management, neuropsychology, occupational therapy, social work, speech-language pathology, and therapeutic recreation.

Physical therapy services are offered in our acute inpatient rehabilitation unit, to residents receiving skilled rehabilitation or extended care in the Long-Term Care Center, and on an outpatient basis.


What is a Physical Therapist?

HealthSource physical therapists hold master’s or doctorate degrees in physical therapy (PT). A vital part of the therapy team, they:

  • Perform initial evaluations
  • Set appropriate physical and functional goals
  • Monitor progress toward goals
  • Do routine reassessments and patient discharges

Assisting in the delivery of physical therapy are the physical therapist assistants (PTA). PTAs have an associate’s degree from accredited colleges and universities. Together the PT/PTA team develops exercise and manual strategies to improve daily living.

What We Do For Patients

The team at HealthSource is specially trained in neurological physical therapy. This means we specialize in the treatment of:

  • Stroke
  • Head injury
  • Spinal cord injury
  • Multiple sclerosis
  • Cerebral palsy
  • Parkinson’s disease
  • Spinal cord injury
  • Vestibular disorders (vertigo or dizziness)
  • Headaches

We also offer a complete range of services for orthopedic issues:

  • Back pain
  • Joint replacement
  • Amputation
  • Joint pain including shoulders, hips, and knees
  • Sports injuries

How We Deliver Services

The PT team evaluates and diagnoses strength, range of motion, balance, and pain disorders. We provide therapy designed specifically for patients to increase functional skills based on results of an evaluation. PT services use state-of-the-art equipment and current evidence-based practices.

HealthSource offers technological breakthroughs such as the NESS® L300™, which helps patients with foot drop. Click here to determine if you are a candidate for this technology.

We also educate patients and family members to:

  • Understand identified deficits
  • Implement therapeutic strategies or compensation techniques
  • Prove continued patient progress
  • Return to function/return to work

Contact us for information on
physical therapy

Phone: (989) 790-7800 or (989) 790-7823 Fax: (989) 790-7866

Occupational Therapy

Skills for the Job of Living

At HealthSource Saginaw, our therapy facilities and occupational therapy staff are second to none in the region. Our team is seasoned and successful, and our program is highly sought after as a training ground for students because of our outcome-oriented, patient-focused care.

Occupational therapy services are part of a multi-disciplinary approach that also includes case management, neuropsychology, physical therapy, social work, speech-language pathology, and therapeutic recreation.

Occupational therapy services are offered in our acute inpatient rehabilitation unit, to residents receiving skilled rehabilitation or extended care in the Long-Term Care Center, and on an outpatient basis.


What is Occupational Therapy

Occupational therapists are rehabilitation professionals who work with patients to restore or improve physical abilities, adapt to surroundings, and to teach new skills. Our goal is to have each patient achieve his or her best physical and/or mental function for daily life tasks.

Occupational therapists now enter their field with a master’s degree, while occupational therapy assistants have an associate’s degree from an accredited college or university.

What We Do For Patients

We evaluate and treat people who are experiencing difficulty in the following areas:

  • Upper extremity range of motion and strength
  • Hand function
  • Gross and fine motor coordination
  • Activity tolerance
  • Sitting and standing balance during functional tasks
  • Basic self care skills (eating, dressing)
  • Instrumental activities of daily living (meal prep, homemaking)
  • Safety in the home

We design and provide therapy to increase functional skills based on results of an evaluation. HealthSource occupational therapists use state-of-the-art equipment such as the Tailwind and are certified to evaluate and treat with the Ness® H200™ hand recovery system and the Saebo arm training program for stroke survivors. Click here if you think you are a candidate for these technologies.

Contact us for information on occupational therapy

Phone: (989) 790-7800 or (989) 790-7819 Fax: (989) 790-7866

Speech-Language Pathology

It’s More Than Just Talk

At HealthSource Saginaw, our therapy facilities and staff are second to none in the region. Our team is seasoned and successful, and our program is highly sought after as a training ground for students because of our outcome-oriented, patient-focused care.

Speech-language pathology (SLP) and cognitive retraining services are part of a multi-disciplinary approach that also includes case management, neuropsychology, physical therapy, occupational therapy, social work, and therapeutic recreation.

Speech-language pathology and cognitive retraining services are offered in our acute inpatient rehabilitation unit, to residents receiving skilled rehabilitation or extended care in the Long-Term Care Center, and on an outpatient basis.


What is a Speech/Language Pathologist?

Contrary to our name, we help not only with talking but also with chewing and swallowing, memory, judgement, attention and concentration, reading and writing. It’s the activities of every day life that most of us take for granted.

What We Do For Patients

The SLP staff at HealthSource Saginaw evaluates and diagnoses communication, cognition, and swallowing deficits caused by head injury, stroke, tumor, or disease. Some of the most common disorders include:

Aphasia — an impairment in language affecting comprehension (listening, reading) or expression (thinking of and using words, gestures, or writing)

Apraxia of speech — an impairment of muscle use affecting voluntary control, initiation, and coordination of movement

Cognition — the mental process by which knowledge is acquired. Language and cognition are closely linked in all forms of communication. Areas of difficulty may include orientation, attention, perception, memory, reasoning, and problem-solving

Dysarthria — an impairment in muscle strength, sensation, and speed as evident by facial droop, drooling, slurred, or distorted speech

Dysphagia — difficulty swallowing, which involves chewing and moving food or liquid through the mouth to the stomach. Signs of difficulty include holding food in the mouth, coughing, changes in vocal quality, or the feeling that something is stuck

Voice fluency— a variety of components including pitch, volume, quality, intonation or inflection, resonance, and stuttering

We design and provide therapy to increase functional skills based on results of an evaluation. SLP services use state-of-the-art equipment and current techniques in the following areas:

  • Cognitive retraining emphasizing memory strategy education and training, attention building programs, computer-assisted visual processing training, and computer-simulated driving experience
  • Language therapy to address communication limitations caused by aphasia
  • Speech therapy to address articulation, voice, and fluency
  • Swallowing therapy using facial e-stim, VitalStim therapy, deep pharyngeal neuromuscular stimulation (DPNS) techniques, diet modification, and eating compensation strategies

We also educate patients and family members to understand deficits and implement therapeutic strategies or compensation techniques.


Contact us for information on
speech-language pathology

Phone (989) 790-7800 or (989) 790-7816 Fax (989) 790-7866

Pre-Driving Skills Evaluation Program

Therapist works with patient on pre-driving skills
Driving Simulator

 

If you are a physician or family member concerned about an individual’s ability to safely operate an automobile, HealthSource Saginaw offers a 45-75 minute evaluation program designed to evaluate and treat for cognitive communication deficits and pre-driving skills (everything but the road driving test). The program provides insight into a patient’s functional abilities related to:

  • Communication (understanding and expression)
  • Verbal fluency
  • Attention processing
  • Visual-spatial processing
  • Visual-reaction timing
  • Auditory reaction timing
  • Memory for biographical, immediate, recent, and long-term information
  • Orientation, problem solving, foresight, and planning

The evaluation also includes pre-driving skills simulation such as:

  • Safety awareness and attention
  • Awareness of cause/effect
  • Brake reaction timing
  • Eye/hand coordination
  • Head/neck flexibility/movement
  • Leg/foot movement
  • Control in varying situations or in presence of unexpected hazards

For more information, contact the Speech Language Pathology Department at (989) 790-7816.

This test requires a physician order faxed to (989) 790-7866. The order should read: “Evaluate and treat for cognitive communication deficits and pre-driving skills” and must include the patient’s medical diagnosis related to neurological function, a demographics sheet, and history and physical.

HealthSource will contact the patient to schedule day/time of appointment.

Physicians will receive an evaluation report summary and recommendations via fax within 7 days of evaluation.

 

LSVT Big® and LSVT Loud®


Occupational therapist works with patient through LSVT BIG Program
Parkinson’s BIG Program

Speech-language pathologist works with patient through LSVT Loud Program
Parkinson’s LSVT LOUD Program



Healthsource Saginaw therapists use the LSVT® programs to help people with Parkinson’s disease and other neurological disorders through an intensive, amplitude-based exercise program to show improvements in:

  • Walking
  • Balance
  • Trunk rotation
  • Multitasking
  • Voice and speech

Patients will use bigger movements automatically in everyday living, show improved articulation, speech intelligibility, and will see long-term results while providing systematic relief and improved function.

For more information, call (989) 790-7800.

 

Interactive Metronome Therapy Program

Speech Language Pathologist uses Interactive Metronome to work with patient.
Interactive Metronome

 

Interactive Metronome is an evidence-based assessment and training tool that measures and improves neurotiming, which is the synchronization of neural impulses within the brain. Interactive Metronome improves cognitive-communication, sensory, and motor performance for the following:

  • Attention
  • Processing speed
  • Working memory
  • Executive function
  • Self-regulation
  • Expressive and receptive language
  • Reading comprehension
  • Mathematics
  • Upper extremity function
  • Motor coordination
  • Athletic performance

The Interactive Metronome program at HealthSource Saginaw can help people with:

  • Parkinson’s
  • Traumatic brain injury
  • Cerebral palsy
  • Stroke
  • ADHD
  • Dyslexia
  • Autism spectrum disorders
  • Enhanced sports performance

For more information, call the Speech Language Pathology Department at (989) 790-7816.

 

SaeboReach and SaeboFlex Arm Training Programs

Occupational therapist uses Saebo technology with patient
Saebo Technology

 

The SaeboReach and SaeboFlex are dynamic orthotic devices that assist with hand opening and reaching for patients with limited upper extremity function. Both allow patients to practice functional arm use even when active movement is limited.

  • SaeboFlex: Focuses on grasp and release of the hand
  • SaeboReach: Adds elbow extension support for reaching tasks (for more involved weakness)

The occupational therapist evaluates if the patient meets criteria for dynamic orthotic training:

  • Shoulder, elbow, wrist, and hand movement
  • Ability to partially grasp or initiate movement
  • Muscle tone/spasticity
  • Functional limitations in activities of daily living

The orthosis is custom-fitted to the patient’s arm/hand.

Spring-assisted components help the patient:

  • Open the hand after grasping
  • (SaeboReach) Assist with elbow extension

The occupational therapist guides high-repetition functional tasks focusing is on repetition to drive neuroplasticity, such as:

  • Reaching for objects
  • Grasping items (cups, balls, household items)
  • Releasing objects into containers

As strength and control improve, the goal is carryover to unassisted movement:

  • Resistance/support is adjusted
  • Patient gradually relies less on the device

Saebo programs are used for neurological upper extremity impairments, including:

  • Stroke (CVA)
  • Traumatic brain injury (TBI)
  • Spinal cord injury (incomplete, UE involvement)
  • Multiple sclerosis (MS)
  • Cerebral palsy (select cases)

For more information contact the Occupational Therapist Department at (989) 790-7819 or click here (Saebo | Stroke Rehabilitation Therapy & Products for Home, Clinic) to learn more.

 

Ness® H200™ Hand Recovery System

Patient wearing H200 device for therapy
Ness® H200™ Hand Recovery System

 

The H200 is a wearable electrical stimulation device that helps people open and close their hand when they have weakness or paralysis. The H200 uses functional electrical stimulation (FES) to activate the nerves and muscles in the forearm and hand.

An occupational therapist uses the H200 as part of functional training, not just passive movement.

  • The orthosis (brace) is placed on the patient’s forearm and hand
  • Electrodes are positioned to stimulate the correct muscles
  • The OT adjusts intensity so it produces a controlled hand opening and closing

The occupational therapist programs the device to help the patient:

  • Improve grasp and release function
  • Increase independence in activities of daily living
  • Reduce spasticity
  • Maintain or improve range of motion
  • Promote neuroplasticity and recovery

The occupational therapist then practices real-life activities, such as:

  • Picking up a cup
  • Holding utensils
  • Releasing objects on command
  • Hygiene or grooming tasks

The H200 is typically used for upper extremity weakness or paralysis due to neurological conditions, including:

  • Stroke (CVA)
  • Traumatic brain injury (TBI)
  • Spinal cord injury (especially incomplete, C5–C7)
  • Multiple sclerosis (MS)
  • Cerebral palsy (in some cases)
  • Other central nervous system disorders affecting hand function

 

Ness® L300™ Foot Drop System

Ness ® L300 ™ Foot Drop System
Ness® L300™ Foot Drop System

 

The L300 is a wearable functional electrical stimulation (FES) device that helps lift the foot during walking. It stimulates the peroneal nerve, causing the ankle to dorsiflex (lift up) so the foot clears the ground.

A physical therapist uses the L300 primarily for gait training and mobility retraining.

  • A cuff is placed just below the knee
  • Electrodes are positioned to activate the dorsiflexor muscles
  • A gait sensor (often in the shoe or cuff) detects when the patient steps
  • The device is timed to lift the foot during the swing phase of gait

The physical therapist uses the device while the patient practices walking to:

  • Improve gait speed, efficiency, and patterns
  • Increase safety and reduce fall risk
  • Improve foot clearance during walking
  • Promote normalized gait patterns
  • Increase independence in mobility

The physical therapist integrates real-world activities:

  • Walking on different surfaces
  • Turning and changing directions
  • Stair training
  • Community mobility (ramps, uneven ground)
  • Encourages active participation instead of compensation

The L300 is used for foot drop caused by neurological conditions, including:

  • Stroke (CVA)
  • Traumatic brain injury (TBI)
  • Incomplete spinal cord injury
  • Multiple sclerosis (MS)
  • Cerebral palsy
  • Peripheral nerve injury (select cases)

 

VitalStim Therapy

Speech Language Pathologist uses VitalStim Therapy with patient.
VitalStim Therapy

 

VitalStim is a form of neuromuscular electrical stimulation (NMES) used to help improve swallowing function (dysphagia). It delivers small electrical impulses to the muscles in the throat (anterior neck) to help them contract during swallowing.

A speech language pathologist uses VitalStim as part of active swallowing therapy, not just passive stimulation.

  • Small electrodes are placed on the front of the neck
  • The speech language pathologist adjusts the stimulation level to create a visible or palpable muscle contraction
  • The patient remains awake and actively participating

The goal for Vital Stimulation is to:

  • Improve swallow strength and coordination
  • Reduce risk of aspiration (food/liquid entering airway)
  • Advance diet texture safely
  • Improve nutrition and hydration
  • Increase independence with eating and drinking

VitalStim is used for dysphagia (swallowing disorders) due to neurological or medical conditions, including:

  • Stroke (CVA)
  • Traumatic brain injury (TBI)
  • Head and neck cancer (post-surgery or radiation)
  • Parkinson’s disease
  • Multiple sclerosis (MS)
  • Amyotrophic lateral sclerosis (ALS) – in some cases
  • Post-extubation or general deconditioning-related dysphagia

 

Certified Lymphedema Therapy

Occupational therapist wrapping patient's arm as part of lymphedema therapy.
Certified Lymphedema Therapy

 

Lymphedema therapy is a specialized treatment approach used to reduce swelling (edema) and improve function when the lymphatic system is impaired. It typically follows Complete Decongestive Therapy (CDT), completed by a trained occupational therapist. Lymphedema therapy is a multi-component, hands-on and functional intervention, not just compression alone.

The occupational therapist evaluates:

  • Location and severity of swelling
  • Skin condition and tissue texture
  • Range of motion and functional limitations
  • Impact on dressing, bathing, work tasks

Measurements (circumference or volume) are often taken to track progress prior to initiating manual lymphatic drainage

  • A gentle, specialized massage technique
  • Directs lymph fluid toward healthy drainage pathways and moves fluid out of congested areas to reduce swelling

Compression therapy is then used to maintain and further reduce swelling, including:

  • Compression bandaging (short-stretch wraps)
  • Compression garments (sleeves, stockings)
  • The occupational therapist teaches proper application, wear schedule, and care

The occupational therapist prescribes specific, low-impact exercises and education to:

  • Promote lymph flow
  • Improve mobility and strength
  • Enhance circulation
  • Education on keeping skin clean and moisturized
  • Monitoring for signs of infection (cellulitis)
  • Avoiding injury to the affected area
  • Promote long-term self-management

Skin integrity is critical in lymphedema management.

Lymphedema therapy is used for primary and secondary lymphedema, including:

  • Cancer-related lymphedema
  • Breast cancer (upper extremity)
  • Gynecological or prostate cancers (lower extremity)
  • Primary (congenital) lymphedema
  • Post-surgical lymph node removal
  • Radiation-related swelling
  • Chronic venous insufficiency (phlebolymphedema)
  • Trauma or infection-related swelling

 

Dry Needling

Patient getting dry needling treatment.
Dry Needling

 

Dry needling is a technique where a physical therapist uses thin, sterile needles to target trigger points (tight knots in muscles) and irritated tissue. It is used to reduce pain and muscle tension and improve movement.

Dry needling is used as part of a larger treatment plan, not by itself.

The physical therapist identifies:

  • Trigger points
  • Tight or overactive muscles
  • Movement limitations
  • Determines which muscles are contributing to pain or dysfunction

A small, thin needle is inserted into the targeted muscle

The physical therapist may:

  • Leave the needle in place briefly
  • Use a technique to elicit a local twitch response (muscle contraction)

The goal is to release tension and reset the muscle, decreasing;

  • Reduce pain and muscle tightness
  • Improve range of motion
  • Restore normal muscle activation
  • Improve movement quality
  • Support faster return to function and activity

Dry needling is used for musculoskeletal pain and movement dysfunction, including:

  • Myofascial pain syndrome
  • Neck and back pain
  • Shoulder pain (e.g., rotator cuff issues)
  • Tendonitis or tendinopathy
  • Hip and knee pain
  • Plantar fasciitis
  • Headaches (tension-type, cervicogenic)
  • Sports injuries
  • Postural dysfunction

 

Certified Aquatic Therapeutic Exercise


Physical therapist assisting patient with aquatic therapeutic exercises in therapy pool.
Certified Aquatic Therapeutic Exercise

Patient doing aquatic therapeutic exercises in therapy pool.
Certified Aquatic Therapeutic Exercise


Aquatic therapy is the use of water-based exercises in a therapeutic pool to improve strength, mobility, balance, and function. The properties of water (buoyancy, resistance, and hydrostatic pressure) make movement easier, safer, and less painful during recovery.

Aquatic therapy is used as part of a progressive rehab plan, often early in recovery or when land-based therapy is limited.

Physical therapist/occupational therapist evaluates:

  • Pain levels
  • Range of motion
  • Strength and weight-bearing tolerance

Water depth and environment are chosen based on goals:

  • Deeper water = less weight-bearing
  • Shallower water = more strengthening and functional work

Patients begin moving earlier than they might on land.

Exercises include:

  • Gentle range of motion
  • Assisted walking
  • Light functional movements

Buoyancy reduces joint stress, allowing earlier participation while maximizing natural resistance in all directions. Therapy focuses on proper mechanics without compensation to target the following goals:

  • Reduce pain during movement
  • Improve range of motion
  • Restore strength safely
  • Improve gait and functional mobility
  • Support faster return to sport or daily activity

Progression to land-based therapy

As strength and tolerance improve:

  • Resistance is increased (faster movement, equipment)
  • Water depth is decreased
  • Transition back to full-weight-bearing land activities.

Aquatic therapy is ideal for orthopedic injuries and post-surgical recovery, including:

  • Total joint replacements (hip, knee, shoulder)
  • Post-operative orthopedic repairs (ACL, rotator cuff, labral repairs)
  • Sports injuries (sprains, strains, tendon injuries)
  • Fracture recovery (once cleared)
  • Chronic joint pain (arthritis)
  • Low back pain
  • Deconditioning after injury or surgery

 

Pregnancy and Postpartum Corrective Exercise (PCES)
Pelvic Floor Therapy

Physical therapist assisting patient with pelvic floor therapy.
Pregnancy and Postpartum Corrective Exercise (PCES)
Pelvic Floor Therapy

 

PCES-based pelvic floor therapy is a specialized approach where a physical therapist uses targeted exercises, breathing strategies, and movement retraining to restore core and pelvic floor function during and after pregnancy. It focuses on the entire pressure system: diaphragm, core (abdominals), and pelvic floor. This is an active, education-heavy, functional approach—not just isolated pelvic floor exercises.

The physical therapist evaluates:

  • Pelvic floor strength, coordination, and endurance
  • Core function (including diastasis recti)
  • Breathing patterns
  • Posture and alignment
  • Movement patterns (squat, lift, carry)

PCES pelvic floor therapy is used for pregnancy and postpartum-related dysfunction, including:

  • Urinary incontinence (leakage)
  • Postpartum core weakness
  • Diastasis recti
  • Pelvic organ prolapse (mild–moderate)
  • Pelvic pain (prenatal or postpartum)
  • Low back or SI joint pain
  • Pain with intercourse (dyspareunia)
  • C-section or perineal scar dysfunction
  • Return-to-running or fitness concerns postpartum

Why it works beyond postpartum patients

As people age, they often develop:

  • Pelvic floor weakness or dysfunction
  • Core weakness
  • Poor pressure management
  • Postural changes

PCES-informed pelvic floor therapy can help with:

  • Urinary incontinence (stress, urge, or mixed)
  • Fecal incontinence
  • Pelvic organ prolapse
  • Chronic low back pain
  • Balance issues (linked to core weakness)
  • Deconditioning and reduced functional strength
  • Chronic constipation
  • Postural dysfunction (kyphosis, rib flare, etc.)
  • Pain with movement or daily activities

 

Bioness Integrated Therapy System (BITS)

Occupational therapist assisting patient with the Bioness Integrated Therapy System.
Bioness Integrated Therapy System (BITS)

 

BITS is an interactive rehabilitation system that uses a large touchscreen, visual targets, and cognitive exercises to improve physical, visual, and cognitive performance.  It combines motor, cognitive, and visual training in one system, making it ideal for interdisciplinary rehab.  BITS is used as part of a coordinated, interdisciplinary plan of care, with each discipline targeting specific deficits while reinforcing shared goals.

Each discipline evaluates relevant areas:

  • Physical therapy: balance, coordination, reaction time, endurance
  • Occupational therapy: upper extremity function, visual-motor integration, ADL performance
  • Speech language pathology: attention, memory, processing speed, executive function

BITS can provide objective data (reaction time, accuracy, completion speed). Patients perform touchscreen-based activities such as:

  • Hitting visual targets
  • Sequencing tasks
  • Divided attention exercises
  • Reaction time drills

Tasks can be graded in difficulty and complexity in real time.
Physical therapy uses BITS to integrate mobility and balance with cognition:

  • Standing balance while reaching for targets
  • Weight shifting and stepping tasks
  • Dual-task gait training (walking + cognitive task)
  • Reaction time for fall prevention with emphasis on dynamic balance and functional mobility under cognitive load

Occupational therapy uses BITS for upper extremity and functional integration:

  • Reaching, coordination, and endurance tasks
  • Bilateral hand use
  • Visual-motor integration
  • Simulated functional tasks (sorting, scanning, sequencing) with a focus on ADL-related skills and arm function

Speech language pathology uses BITS to target cognitive-communication skills:

  • Attention (sustained, selective, divided)
  • Memory and recall tasks
  • Processing speed
  • Executive functioning (problem-solving, sequencing) with tasks that mimic real-world cognitive demands

A key advantage of BITS is combined training, and promoting carryover to real-world function such as:

  • Walking while performing a cognitive task
  • Reaching tasks that require sequencing or memory
  • Balance activities requiring visual scanning

BITS is especially effective for neurological and complex rehabilitation, including:

  • Stroke (CVA)
  • Traumatic brain injury (TBI)
  • Concussion/post-concussion syndrome
  • Parkinson’s disease
  • Multiple sclerosis (MS)
  • Spinal cord injury (in combination with other deficits)
  • Balance disorders and fall risk in older adults